@layout("/common/_form.html",{js:["/assets/students/students_add.js","/assets/students/qrcode.js"],css:["/assets/expand/module/formSelects/formSelects-v4.css"]}){

<form class="layui-form" id="studentsForm" lay-filter="studentsForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <!--<div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">照片<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="headerUrl" name="headerUrl" type="hidden" class="layui-input"/>
                            <div style="float: left; width:92px;">
                                <button type="button" class="layui-btn layui-btn-sm" id="picBtn"><i class="layui-icon"></i>选择图片</button>
                            </div>
                            <div style="float: left; width:92px; margin-left: 10px;">
                                <button type="button" class="layui-btn layui-btn-sm" id="toTellPhonePicBtn"><i class="layui-icon"></i>通过手机上传</button>
                            </div>
                            <div class="layui-upload-list" style="clear:both">
                                <div style="float: left; width:92px; height:92px; border: 1px solid #c1c1c1">
                                    <img class="layui-upload-img" style="border: none" width="100%" height="100%">
                                </div>
                                <div id="qrcode" style="float: left; width:92px; height:92px; margin-left: 10px; border: 1px solid #c1c1c1"></div>
                            </div>
                        </div>
                    </div>-->
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学生姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="studentName" name="studentName" placeholder="请输入学生姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">性别<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input type="radio" name="sex" value="1" title="男"/>
                            <input type="radio" name="sex" value="0" title="女"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">招生来源<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="source" lay-search="">
                                <option value="">请选择招生来源</option>
                                <option value="1">转介绍</option>
                                <option value="2">渠道</option>
                                <option value="3">院校大学生</option>
                                <option value="3">网络渠道</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学历<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="diploma" lay-search="">
                                <option value="">请选择学历</option>
                                <option value="初中">初中</option>
                                <option value="中专">中专</option>
                                <option value="高中">高中</option>
                                <option value="大专在读">大专在读</option>
                                <option value="本科在读">本科在读</option>
                                <option value="大专毕业">大专毕业</option>
                                <option value="本科毕业">本科毕业</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学院名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="collegeName" name="collegeName" placeholder="请输入学院名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">报名专业<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select id="specialtyId" name="specialtyId" lay-filter="simpleSelect" lay-verify="required" required></select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">班级<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="teamId" name="teamId" placeholder="请输入班级" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">状态<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="status" lay-search="">
                                <option value="入学">入学</option>
                                <option value="休学">休学</option>
                                <option value="毕业">毕业</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">出生年月<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="dateOfBirth" name="dateOfBirth" placeholder="请输入出生年月1995-01-12 12:00" type="text" class="layui-input" autocomplete="off"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">学习时间(月)<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="months" name="months" placeholder="请输入学习时间" type="text" class="layui-input" lay-verify="required|number" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">身份证号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="idcard" name="idcard" placeholder="请输入身份证号" type="text" class="layui-input" lay-verify="required|identity" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="cellPhoneNumber" name="cellPhoneNumber" placeholder="请输入联系电话" type="text" class="layui-input" lay-verify="required|phone|number" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">家庭住址<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="homeAddress" name="homeAddress" placeholder="请输入家庭住址" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系人电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="contactPhone" name="contactPhone" placeholder="请输入联系人电话" type="text" class="layui-input" lay-verify="required|phone|number" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联系人关系<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="contactRelation" name="contactRelation" placeholder="请输入联系人关系" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">紧急联系人电话<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="emergencyContactPhone" name="emergencyContactPhone" placeholder="请输入紧急联系人电话" type="text" class="layui-input" lay-verify="required|phone|number" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">紧急联系人关系<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="emergencyContactRelation" name="emergencyContactRelation" placeholder="请输入紧急联系人关系" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">备注<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="remark" name="remark" placeholder="请输入备注" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}